Your PSA is still quite low, and as your doctor has said, it hasn't changed in a year. Therefore if you really do have PCa it will be very slow growing.

If your PSA went from one to two in a year, then that would be cause for a biopsy. There is an obvious rise that would need to be investigated.

If your uro says you're OK, then chances are very good that you are OK (at least in the prostate department). You can't do much to prevent prostate cancer. However if you want to worry about something, worry about heart disease -- at least worrying about that might lead you to some effective preventative action.

In your situation, I would get out and enjoy life while you still have it, and especially do all those things that those of us without prostates can't do Age 63. Other than cancer, in good health; BMI 20

Piano, You are very right....Dont worry about something that may not even be true. " Worry pretends to be necessary"...CV You are probably fine....Just get on with your life, and forget about it for now. Go back when your doctor said to. If you don't want to do that...go to another doctor...DiHusband Petedx Jan 2001 age 67 gleason 4 + 3 PSA 16.5 seed implant and conformal radiation Lupron from Jan 2001 to Jan20022005 Dec PSA began to rise from .5 to 8 within 6 monthsSalvage surgery at MSK 9/06Fistula operation 2/07 MSKMany cystoscopies and ER visits with stricturescatheter for one year....Catheter taken out Sept 07..Total Incontinence since then....PSA .52 3/07AUS Operation at MSK Sept 8. Dr. SandhuActivated Oct 28th Dr. Sandhu..MSKSome difficulty with AUS arising Nov 10 2008Meeting with Dr. Sandhu to discuss AUS problems and new PSA test Dec 11, 2008

CVC, I shouldn't worry to much. Your Uro has given you the all clear and your PSA at 0.99/1.01 is quite low. Below are the generally accepted "normal" PSA levels for various age groups although there is a move to lower them a little (some suggesting a 2.5 ng/ml cut-off). It is generally thought that an increase in excess of 0.7 ng/ml in a year is a cause for further investigation

Most doctors are very conservative in their evaluations - they will take the precautionary side. I cannot see any reason for you to be concerned from your data. Everyone who has a prostate has some PSA. I am somewhat curious as to your fear - I think you should be rejoicing that your PSA is that low.

It seems to me you ought to have it checked periodically, but until it shows doubling and moves into the higher numbers there should be no real reason to worry. But, why worry anyway that does no good. And, if you are going to periodically check your PSA chances are if you ever do develop PC you will catch it early.

cvc,I don't think I was this worried when my PSA hovered near 20. Of course I was ignorant then, but it's not really a practice of mine to spend too much time on what might happen. Instead I would encourage you to believe in the good side of these things and stay positive. Your numbers don't look bad at all. Stay diligent, but try to let this go. And if you need us we are here.

Most of you will consider me a over-worried wimp, but one other posting is something like this,....so any advice is welcome. I am another no cancer (per biopsy), but high psa velocity person. No measure of free PSA was done. Small volume prostrate. He gave 7 days of broad spectrum antiibotics (levenquin ??)My internet has me second guessing my urologist, who is not that communicative. (He would not discuss odds, LT strategy, etc)Please add your pros and cons to the following:PSA History 11/2008 = 9.5, 5/2008 = 6.2, 4/2007 =4.5, 3/2006 = 3 . Uro-doc gave 7 days of broad spectrum antiibotics (levenquin ??) to eradicate any urinary infection that would impact PSA1 - If high (>9), he will want to do another biopsy. Do you know of any other reliable tests AMAS, ECPA, protate MRI, .... (I was pushing for an AMAS test via Oncolab and wanted to know his recommendation, cost to me $165 instead of a ..........biopsy, this is praised by some doctors and considered worthless by others, .... my uro-doc never heard of it....he also ........... does not measure free PSA, ....why not? his answer is we don't do that??)2 - I read that if the PSA is high, one should be on 30 days of antibiotics because unrinary infections are difficult and timely to ..........eradicate. Please comment. ( If high I think uro-doc should employ 30 days of antibiotics, and find a more reliable test ..........other than biopsy)3 - What are the odds of me getting protrate cancer in the future with this high velocity PSA?4 - Is my uro-doc OK?5 - John Hopkins sends me email on latest break-thus, but they want to sell books to us in order to get that information. Do you know where else I can get latest breakthur information such as the diet we should be on.

Yeah, I don't get where there would be any worry with a PSA that absolutely tiny. My first one at age 50 was 3.8, and then the rest was history. I wasn't worried at all till it quickly went over the 4.0 mark, then really worried when it nearly tripled in one year to over 12.0. I would say put it out of your mind, you sure don't want to be in this group or club. I am here against my will so to speak.